Andrea F Bonkosky, LCSW
Social Worker, Clinical in Sunrise, FL. Individual provider (NPI-1).
NPI number1962983239
StatusActive
Last updated in NPPESAug 24, 2018
Details
- NPI
- 1962983239
- Entity type
- Individual (NPI-1)
- Name
- Andrea F Bonkosky
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2018
- Last updated
- Aug 24, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW15646 | FL | Yes |
Practice location
3130 Nw 122nd AveSunrise, FL 33323-3012
Phone 954-643-3017
Mailing address
3130 Nw 122nd AveSunrise, FL 33323-3012
Phone 954-643-3017
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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